HOW TO REDUCE A BIG NOSE.

Auckland Star, Volume XXX, Issue 5, 7 January 1899, Page 5 (Supplement)

HOW TO REDUCE A BIG NOSE.

The surgeons have succeeded in accomplishing many remarkably rhinoplastic operations; but in the 'Berliner Kiinische Wochenschriff Dr. Joseph describes a rhinoplastic operation periormed by him, not as is usually the case, for the purpose of restoring a missing, or mutilated nose, but in order to reduce the proportions of a preternaturally developed nose. A country gentleman possessed an olfactory organ of dimensions so enormous as to arouse the hilarity of his neighbours, and he was thereby so much mortified that he became almost melancholy, and appealed to Dr. Joseph to deliver him from his affliction. The superfluous skin and cartilages were accordingly removed by four incisions, which formed two angles, with the vertex in the median line of the nose; then the unduly prominent nasal bones were reduced with the chisel, and finally the bridge of the nose was shortened by excising a wedge shaped portion

of bone. Sutures were then applied, the wound healed by first intention, and the patient is now in high spirits, a comparison of photographs affording ample evidence of the improvement which has been brought about in his appearance. A similar case was tinder the care of Professor Robert Weir, of New York, and is described in the 'New York Medical Journal, 1592, p. 452; but as a rule, it is not the reduction of a nose, but a reparation of that organ, damaged or deficient, which is required.